Individual
MR. MILFORD OTIS ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
7132 BRYCE CANYON DR, MCKINNEY, TX 75070-2336
(972) 989-8645
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
32874
TX
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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